Rcm

4 days ago

Coimbatore Tamil Nadu, India SARA INFOTECH Full time

**Operational Leadership**:

- Manage the full revenue cycle including charge entry, claims submission, payment posting, denial management, and patient billing.
- Monitor and improve key RCM metrics such as AR days, collection efficiency, clean claim rate, and denial percentage.
- Develop, document, and implement SOPs and quality assurance procedures across the billing function.

**Compliance & Quality Control**:

- Ensure adherence to HIPAA, CMS, Medicare/Medicaid, and payer-specific regulations.
- Perform periodic audits to ensure claims accuracy and regulatory compliance.
- Stay updated with changes in billing/coding guidelines and payer rules.

**Team Management**:

- Lead and mentor a team of medical billers, A/R specialists, and coders.
- Conduct regular performance evaluations, coaching sessions, and training programs.
- Drive engagement and retention through career development initiatives and knowledge-sharing forums.

**Client Coordination**:

- Serve as the primary contact for U.S. clients regarding billing performance, escalations, and reporting.
- Lead monthly/quarterly review meetings and provide insights on aging reports, denial trends, and process improvements.
- Customize workflows based on client-specific protocols and compliance requirements.

**Denial Management**:

- Oversee root cause analysis and resolution of denials.
- Guide the team on effective appeals, re-submissions, and workflow automation strategies to minimize denials.

**Technology & Reporting**:

- Leverage billing platforms (e.g., Kareo, Athena, eCW, AdvancedMD), clearinghouses, and analytics tools (Excel, Power BI, Tableau).
- Implement automation and RPA for key processes like remittance posting and eligibility checks.
- Monitor performance via dashboards and drive data-backed decision-making.

**Job Types**: Full-time, Permanent, Fresher

Pay: ₹100,000.00 per month

**Benefits**:

- Health insurance
- Life insurance
- Provident Fund

Schedule:

- Monday to Friday
- Night shift
- US shift

Work Location: In person

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